UCLA UCLA Previously Published Works Title Gastric H,K-ATPase as a drug target Permalink https://escholarship.org/uc/item/1g5606x9 Journal Digestive Diseases and Sciences, 51(5) ISSN 0163-2116 Authors Shin, Jai M Sachs, G Publication Date 2006-05-01 Peer reviewed eScholarship.org Powered by the California Digital Library University of California The Gastric H,K-ATPase as a Drug Target Jai Moo Shin and George Sachs* Department of Physiology and Medicine, University of California at Los Angeles, and VA Greater Los Angeles Healthcare System, Los Angeles, California, CA90073, USA * To whom correspondence should be addressed: at Membrane Biology Laboratory, VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Bldg. 113, Rm. 324, Los Angeles, CA 90073 Tel: (310) 268-4672 Fax: (310) 312-9478 e-mail:
[email protected] 1 Introduction Gastric acid is secreted by parietal cells in the stomach. These have two known acid stimulatory receptors the H2-receptor and the muscarinic M3 receptor. Gastrin, the major endocrine activator of acid secretion, exerts its action via release of histamine from the ECL cell as does pituitary adenylate cyclase activating peptide (PACAP), a neural mediator of activation of acid secretion. Antagonists of the former two stimulants inhibit gastric acid secretion. Cholinergic receptor antagonists have many side effects and are relatively weak inhibitors at therapeutic doses as compared toH2-receptor antagonists. These drugs were widely developed in the 1970’s and 1980’s and became the first really useful medications for healing of peptic ulcers. However, although good for healing peptic ulcers, they were less effective in treatment of erosive esophagitis.